Organization
AT EASE DIALYSIS SUPPORT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS TAYLOR (OWNER/TECHNICIAN)
(267) 333-5150
Entity
Organization
Contact information
Practice address
1167 CLEVELAND ST., PHILADELPHIA, PA 19146-2909
(267) 333-5150
Mailing address
1167 CLEVELAND ST., PHILADELPHIA, PA 19146-2909
(267) 333-5150
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
3827564
PA
Other
Enumeration date
05/11/2011
Last updated
05/11/2011
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